Individual
MONICA BASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 BRIDGE ST, PARK RAPIDS, MN 56470-1210
(218) 366-9229
Mailing address
515 BRIDGE ST, PARK RAPIDS, MN 56470-1210
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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